To obtain an application, please click on a link below.  Return the completed application to our office to receive a quote or to begin coverage. 

Please note:  All coverage is subject to underwriting approval.  Submitting an application to our office does not automatically bind coverage.  An insurance agent will contact you to confirm when coverage is bound.  We cannot accept incomplete applications.

MORTALITY FORMS:

Full Mortality/Limited Mortality Application  (PDF)
*NEW*  Complete, sign and return the form online!  Click here.
(To be completed for all animals to be insured.)

Full Mortality/Limited Mortality Renewal Application (PDF)
*NEW* Complete, sign and return the form online!  Click here.
(For existing customers to use for renewal purposes - if your horse has not had any health problems and the value of the horse on the renewal policy is $50,000 or under.)

Statement of Health (PDF)
*NEW* Complete, sign and return the form online.  Click here.
(To be completed if you wish to increase the insured value of your horse or to add additional coverage.  Please note: if you are increasing the value of your horse over $50,000 a vet examination may be necessary.  Please contact your agent for details.)


VET FORMS:

Veterinary Examination Form (PDF)
(To be completed along with a Full Mortality application if your horse is valued over $50,000 or has had health problems.  Please have your vet specifically address any past or current health problems.)

Loss of Use Examination Form (PDF)
(To be completed with the Full Mortality Application.  Requires radiograph narratives as well as flexion test results.  A drug screen is required for all horses over $25,000 in value.)

Breeding Soundness Evaluation Form (PDF)
(To be completed with the Full Mortality application.)

Supplemental Breeding Report Form (PDF)
*NEW* Complete, sign and return the form online.  Click here.
(To be completed in conjunction with the Breeding Soundness Evaluation form.)


PROPERTY FORMS:

Farm/Ranch Property & Liability Application (PDF) - Use in all states EXCEPT CA and TX.
*NEW* Complete, sign and return the form online.  Click here.

(Photos are necessary with your application.  See coverage summary for details.)

Farm/Ranch Property & Liability Application (PDF) - TX and CA Properties.
(Photos are necessary with your application.  See coverage summary for details.)

Farm/Ranch Property & Liability Renewal Application (PDF)
*NEW* Complete, sign and return the form online!  Click here.
(For existing customers to use for policy renewal purposes.)

Homeowner Questionnaire (PDF)


LIABILITY FORMS:

Horse Club Liability Application (PDF)
*NEW* Complete, sign and return the form online!  Click here.
(Please submit a Release of Liability form including the Equine Warning Law for your state if applicable.  See our section on the Equine Statutes for further information.)

Commercial Equine Liability Application (PDF)
*NEW* Complete, sign and return the form online!  Click here.
(This application should be submitted for coverage on the following operations:  Boarding, breeding, training, riding instruction and hosted shows or clinics.  Please see the section below entitled "OTHER APPLICATIONS" for all other types of equine operations.  Please submit a Release of Liability form including the Equine Warning Law for your state if applicable.  See our section on the Equine Statutes for further information.)

Care Custody & Control Application (PDF)
*NEW* Complete, sign and return the form online.  Click here.

(Please submit a Release of Liability form including the Equine Warning Law for your state if applicable.  See our section on the Equine Statutes for further information.)

Personal Horse Owners Liability Application (PDF)
*NEW* Complete, sign and return the form online!  Click here.

Horse Event/Competition Liability Application (PDF)
*NEW* Complete, sign and return the form online!  Click here.

(Please submit a Release of Liability form including the Equine Warning Law for your state if applicable.  See our section on the Equine Statutes for further information.)

In order to view or print these applications, you must have the Adobe Acrobat Reader. 
Download the free program:


 

OTHER  APPLICATIONS

If you are looking for an application for coverage on any of the following, please contact our office:
 

Trail Rides

Cattle Ranching

Horse Leasing

Equestrian Day Camps

Outfitters & Guides

Polo Clubs

Pony Rides

RV Parks & Campgrounds

Equine Therapy

Horse Drawn Vehicle Rides

Therapeutic Riding Instruction

Equine Photography

Dude Ranch

Horse Auctions

Race Horse Trainer Farm/Liability

Lodge/Resort

Bull Riding Events/Rodeos

Race Horse Owner Liability

Bed & Breakfast

Tack Store

Petting Zoo

Farrier

Workers' Compensation

Umbrella

Full Mortality on Dogs, Pigs, Sheep, Goats, Elk, Camelids, Bison

Horse Trailers

Horse Haulers